WIC Program Feedback Survey Form

WIC Program Feedback Survey Form
Share your thoughts and experiences with the WIC Program. Your feedback helps us improve our services.
How satisfied are you with the WIC Program overall?
How would you rate the following aspects of the WIC Program?
Rows Very Poor Poor Average Good Excellent
Ease of applying
Staff helpfulness
Clarity of information
Product selection
Convenience of appointments
How often do you use the WIC Program?
What was the most helpful part of your WIC experience?
What could be improved about the WIC Program?
Would you recommend the WIC Program to others?
Please share any additional comments or suggestions.
What is your age group?
Should be Empty:

Select theme:

Rows	Very Poor	Poor	Average	Good	Excellent
Ease of applying
Staff helpfulness
Clarity of information
Product selection
Convenience of appointments